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HomeMy WebLinkAboutADM24-0026 ApprovedButte County Department of Development Services FORM NO PLANNING DIVISION PLA-237CountyCenterDrive,Oroville,CA 95965 Planning Center Phone 530.552.3701 Tax 530.538.7785 dsplaiiniivjY/hunecouni'..nei TEMPORARY HOUSING 2024 SUMMER FIRES ADMINISTRATIVE PERMIT (BCC 56-34 ET SEQ.) APPLICANT INFORMATION !PHONE NUMBERAPPLICANT’S NAME I ZIP CODEMAILINGADDRESSATI- E-MAiL^^^^/^e f it PROPERTY INFORMATION PROPERTY OWNER (if different from the applicant)ASSESSOR’S PARCEL NUMBER SITE ADDRESS ZIP CODE SIZE OF PROPERTY EXISTING LAND USE TYPE OF PERMITTED WATER SYSTEM? /-yf ^WELL □SHARED WELL □SPRING □OTHER PERMITTED ON-SITE SEPTIC SYSTEM?PROPOSED POWER SOURCE'.’ 1^0PG&E □GENERATOR □ SOLAR □BATTERY □OTHER □YES DESCRIPTION OF PROPOSED ACTIVITIES.l.ENGTli OF STAY.TIME OF YEAR.VEHICLE TYPE (use separatesheet,if necessary)7?1/7^/4}/eP s APPLICANT’S ACKNOWLEDGEMENT I certify that all of the information submitted is true and correct to the best of my knowledge.I have read and acknowledgethepermitrequirementsas set forth below (page 2)and agree to comply with them.I further understand that should the proposed improvements be modified or if the use expands beyond the requirements of this permit,that 1 will notify thecountytoobtainanynecessaryapprovals. APPLICANT’S SIGNATURE DATE STAFF USE ONLY APPLICATION REVIEWER ZONE DISTRICT EH CLEARANCE PUBLIC WORKS CLEARANCE □YI-S □ NO ^N/Ai^ii/□yf;s □ no □N/A PROJECT NUMBERy\.00th BUILDING PERMIT REQUIRED?BUILDING PERMIT NUMBIiR □YHS □NOADM N/A B ZONING ADMINISTRATOR APPROVAL DATE (Permit Requirements -Reverse)1 of 2 10/22/2024 E R !V11T R E O UIR E iM E N TS Residential use and occupancy of temporary housing is limited to a maximum of two (2)temporarydwellings(recreational vehicles,travel trailers,truck campers,or movable tiny homes)utilizing hook-upsforwater,sewage disposal,and electricity during the Effective Period of this article (until July 31,2027). Occupancy of temporary dwellings is limited to a county resident or residents whose residential dwellinghasbeendamagedordestroyedbythe2024SummerFires. Temporary housing shall be connected to an approved source of water meeting one of the followingcriteria:(a)Public water supply;(b)Existing well,provided that it has been approved by the DepartmentofPublicHealth,Environmental Health Division as safe for domestic consumption;or (c)Other watersourcesasapprovedbytheDepartmentofPublicHealth,EnvironmentalHealth Division. Temporary dwellings shall be connected to an approved sewage disposal system meeting one of thefollowingcriteria:(a)Public sewer system;(b)Existing on-site sewage disposal system that has beenapprovedbyButteCountyEnvironmentalHealthtobeintact,adequately sized,and functioning and nocloserthat5feetfromthetemporarydwelling;(c)Temporary holding tank with a contract with with apumpingcompanyforregularpumping;or (d)Other method of sewage disposal approved byEnvironmentalHealth. Temporary housing shall be connected to an approved source of electricity meeting one of the followingcriteria:(a)Permitted local utility electrical service connection;or (b)Other power source approved bytheDirectorofDevelopmentServices. Temporary dwellings shall be located outside of required setbacks established in Chapter 24 of the ButteCountyCode. Temporary dwellings shall be located outside of the boundaries of any recorded easements,driveways,andfloodhazardareas. Solid waste shall not be deposited,or disposed of,on the open ground of the subject property,shall bekeptinanappropriatewastereceptacleandremovedfromthepropertyatleastonceaweekinaccordance with Butte County Code sections 31-50 and 31-51 [Failure to Remove Solid Waste]. Burning of solid waste is prohibited unless permission is obtained from the County Health Officer andButteCountyAirQualityManagementDistrict. The applicant shall comply with the defensible space requirements around the property,pursuant to Public Resources Code 4291. Temporary housing shall be disconnected from utilities and removed from the property no later than July 31,2027,or within 30-days of the issuance of the certificate of occupancy,unless an extension ormodificationisapprovedbytheButteCountyBoardofSupervisors. 1. 2. 3. 4. 7. 8. 9. 10. 11. 12. 13. Applicant’s Initials 2 of 2 FORM NO Butte County Department of Development Services 7 County Center Drive,Oroville,CA 95965 Main Phone 530.552.3700 Fax 530.538.7785 www.buttecountv.net/dds DBP-43ButteCounty I iDfVSlOPMPNTStaVlCfS IMPORTANT NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has beerisubmitted in wur parne listingthepropertyimprovementsspecifiedatv3Ci'Y LaJprovidingyouwithanOwner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder.We will not issue a building permit until you have read,initialed your understanding of each provision,signed,and returned this form to us at our official address indicated.An agent of the owner cannot execute this notice unless you,the property owner obtain the prior approval of the permitting authority. of are OWNER’S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS:Read and initial each statement below to signify that you understand or verify this nation./i 1.I understand a frequent practice of unlicensed persons is to have the property ownerobtainan“Owner-Builder”building permit that erroneously implies that the property owner is providing his or her own labor and material personally.I,as an Owner-Builder,may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property,My homeowner’s insurance may not provide coverage for those injuries.I am willfully acting as an Owner-Builder and am aware of the limits of my insuranceco^^age for injuries to workers on my property. 2.I understand building permits are not required to be signed by property owners unlessthey^e responsible for the construction and are not hiring a licensed Contractor to assume thisfesponsibility. 3.I understand as an “Owner-Builder”I am the responsible party of record on the permit.Iur^rstand that I may protect myself from potential financial risk by hiring a licensed Contractor and^vi\g the permit filed in his or her name instead of my own. 4.I understand Contractors are required by law to be licensed and bonded in California list their license numbers on permits and contracts. 5.I understand if I employ or otherwise engage any persons,other than Californialici)^<^d Contractors,and the total value of my construction is at least five hundred dollars ($500),labor and materials,I may be considered an “employer”under state and federal law. _6.I understand if I am considered an “employer”under state and federal law.I must register with the state and federal government,withhold payroll taxes,provide workers’compensation disunity insurance,and contribute to unemployment compensation for each “employee.”I also.tand my failure to abide by these laws may subject me to serious financial risk. 7.I understand under California Contractors’State License Law,an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale,unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year,or all of the work is performed under contract with a licensed general building Contractor. ah inci u 8.1 understand as an Owner-Builder if I sell the property for which this permit is issued,Imay^'e’Tield liable for any financial or personal injuries sustained by any subsequent owner(s)that resrult from any latent construction defects in the workmanship or materials. 9.I understand I may obtain more information regarding my obligations as an “employer' e Internal Revenue Service,the United States Small Business Administration,the Californiafro! Department of Benefit Payments,and the California Division of Industrial Accidents.I also understand I may contact the California Contractors'State License Board (CSLB)at 1-800-321-CSLB (2752)or cslb.ca.gov for more information about licensed contractors. XI 10.I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed constructiona(^\^at the following address: My 11.1 agree that,as the party legally and financially responsible for this proposedconstructionactivity,I will abide by all applicable laws and requirements that govern Owner-Builders as employers. 12.I agree to notify the issuer of this form immediately of any additions,deletions,orchang^Slo any of the information I have provided on this form.Licensed contractors are regulated by laws designed to protect the public.If you contract with someone who does not have a license,theContractors’State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint.Your only remedy against unlicensed Contractors may be in civil court.It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property,you may be held liable for damages.If you obtain a permit as Owner-Builder and wish to hire Contractors,you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers’compensation insurance coverage. Before a building permit can be issued,this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit.Note:A copy of the property owner’s driver’s license,form notarization,or other verification acceptable to the agency is required to be presented when tt}^permit is issued to verify the property owner’ssignature. Signature of property owner: Note:The following Authorization Form is reqUired to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER’S BEHALF Excluding the Notice to Property Owner,the execution of which I understand is my personal responsibility,I hereby authorize the following person(s)to act as my agent(s)to apply for,sign,and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address:. Name of Authorized Agent: Address of Authorized Agent: I declare under penalty of perjury that 1 am the property owner for the address listed above and I personally filled out the above information and certify its accuracy.Note:A copy of the owner’s driver’s license,form notarization,or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner’s signature. Property Owner’s Signature: as m Date: Tel No: Date: Page 2 of2Revised3.12.2020 FORM NOButteCountyDepartmentofDevelopmentServices 7 County Center Drive,Oroville,CA 95965 Main Phone (530)552-3700 Fax (530)538-7785 www.buttecountv.net/dds DBP-18ButteCounty ELECTRIC SERVICE QUESTIONNAIRE In order to ensure timely assistance and the type of permit you need,we request that all applicants for electrical service changeouts,retags,2^^^services,etc.answer the following questions: 1.What is the electrical equipment servicing? Residential^^I N2.Please identify electric service use type?Commercial:Y /N 3.Please list all structures on the parcel to be powered by this sevice: Equip^l N Building Mounted Equip.Y /N4.Is this a mobile/manufactured home?Y /N Pole Mounted 5.Is this a 2^^service on the parcel?Y Have you contacted the electric utility (PG&E,Gridley Electric)?Y/(/)6. 1.What size (amperage &voltage)is the proposed sevice? 8.Is this a 3-phase service?Y /If so,will this be part of a 4-Wire Delta connected system?Y /N 9.Are you doing any otherwork? 10.Please describe your complete scope of work below,include why the work is being requested: Revised 1-12-23 1 of 1 Public Health Department Danette York,Director Dr.David Canton,DO,MPH,JD,Health Officer Environmental Health Division 202 Mira Loma Drive Oroville,California 95965 T;530.552.3880 F:530.538.5339ButteCounty buttecountv.net/publichealth 1 rI-UIJI C I'tAlKI Pre-Application Review for Land Development Project(Please check appropriate box) ()SOIL WAIVER ()MINOR USE PERMIT ()TENTATIVE SUBDIVISON MAP ()TENTATIVE PARCEL MAP ()USE PERMIT (1<{aDMIN USE PERMIT ()OTHER Location of Property Assessor's Parcel Number(s) PROJECT DESCRIPTION (must include an attached map and a brief verbal description) Applicant Phone Number Address Owner Phone Number Address Engineer or Surveyor Phone Number Address Email Correspondence should go to:i)<$!Applicant ()Owner Applicants are strongly advised to consult with the Department of Development Services before beginning this review to make sure they are aware of existing restrictions or conditions on the parcel that could preclude the value of conducting this pre-application review. ()Engineer/Surveyor Site evaluations location and de^an of wa^templetedduring this review will be retained in our files and used to determine the er systems that may be install^on the parcel in the future.7/1-^Signature Date Department Use Only Fees Paid $,Receipt No.Date E.H.S.Reviewing Application Portable Restroom and Collection Service Agreement &Conditions -RV Pump Out -uhnny on the Spot Portable Toilets (530)893-5687 5050 Cohasset Rd Suite 70,Chico,CA 95973 Service Agreement: Service Frequency: Johnny on the Spot Portable Toilets ("Company")agrees to provide portable restroom services and/or recreational vehicle ("RV")pump-out services at the Customer's location on a weekly basis,or as otherwise agreed upon in writing by the parties. Service Rate: The Customer agrees to remit payment in the amount of $70.00 per RV service,with services rendered on a weekly basis unless otherwise stipulated.Payment shall be due upon receipt of the invoice. Limitation of Liability: The Customer acknowledges and agrees that the Company shall not be held liable for any damages,wear,or tear that may occur as a result of normal RV pump-out procedures.The Customer assumes lull responsibility for any risks associated with such services. Payment Terms:Payment for services is required at the time of service.The Company reserves the right towithholdserviceifpaymentisnotreceivedatthetimeofservice.For Customers utilizing credit card payment options,charges will be processed on the day following the service date.In theeventthatapaymentisdeclinedorotherwisefailstoprocess,the Company shall have the right to suspend all future services until such time as the Customer’s account is brought current. Entire Agreement: This Agreement constitutes the entire understanding between the parties with respect to thesubjectmatterhereinandsupersedesallpriordiscussions,agreements,or understandings of anykind.No amendment or modification of this Agreement shall be effective unless in writing and signed by both parties. Acknowledgment: Payment for services rendered shall be deemed as acceptance of this agreement,the Customer acknowledges that they have read,understood,and agree to the terms and conditions set forth in this Service Agreement. Residential Lease 1.THE PARTIES OF THIS RESIDENTIAL LEASE ARE: 1.1 THE LANDLORD: Name of Company or Full Name and Surname of Individual: Agent (if applicable): Titleof Agent (if applicable): Physical Address://^Postal Address (if different):^ (hereinafter referred to as the “Landlord”) 1.2 THE TENANT: Full Name and Surname: Physical Address://2-^ Postal Address (if different): Full Name and Surname:_ Physical Address: Postal Address (if different): Full Name and Surname:_ Physical Address: Postal Address (if different): Full Name and Surname:_ Physical Address: Postal Address (if different): Additional Members of the Tenant’s Household: (hereinafter referred to collectively as the “Tenant”) The Landlord and Tenant choose the above stated addresses as their physical addresses for purposes of delivery of any notice,payment of any amount and at which legal proceedings may ©SmartLegaiForms LF310 Residential Lease 3-23,Pg.1 of 11 ^days after receiving the said written notice by handtomeetwithin or within "5 days after the sending thereof per registered mail,and should the Tenant still fail to comply with such obligations the Landlord shall be entitled to: 4.7.1 cancel this Lease,eject the Tenant and/or any other persons occupying the Premises without prejudice of his/her rights to claim arrear rental amount; 4.7.2 claim payment of any arrear rental amount or any other monies due,be it compensation for damages to the Premises,or damages arising out of breach of this Lease by the Tenant. 4.8 In the event of the Tenant not vacating the Premises after cancellation of this Lease by leav ing his/her property or possessions behind,the Tenant shall be liable for the rental amount. 4.9 The Tenant shall not be entitled to any reduction in rental amount while the Landlord does repairs to the Premises. 5.ADDITIONAL PAYMENTS BY TENANT: 5.1 The Tenant shall from the date of commencement of this Lease promptly pay for all utility expenses,except for: which shall be provided by the Landlord. 5.2 All legal costs incurred by the Landlord in respect of any legal steps taken by him/her against the Tenant to enforce any of the Tenant’s obligations in terms of this Lease shall be paid for bytheTenant, Should the Tenant fail to make payment of any of the aforementioned,the Landlord shall have the right without prejudice to his/her other rights in law or under this Lease to effect payment himself/ herself and to recover the amounts so expended from the Tenant. 6.SECURITY DEPOSIT: 6.1 The Tenant must deposit an amount of of this Lease.This deposit will be held by the Landlord and may be used at any time to repair damages caused by the Tenant to the Premises.The deposit or balance thereof will be refunded to the Tenant when this Lease expires and after inspection of the Premises but not later than .days after this Lease expired.The deposit may also be utilized for the payment of amounts due and owing by the Tenant in terms of this Lease as well as the cost of repairing damage {other than ordinary wear and tear)to the Premises and/or replacing lost keys.This pro vision is purely for the benefit of the Landlord and does not relieve the Tenant in any way from the obligation of any other payment or liabilities in terms thereof. 6.2 The Tenant shall not under any circumstances be entitled in the final month of the tenancy to with the Landlord on signature I PTin Ro<iHonfcal \o^cd Q.OO On nf 11 EXECUTION LANDLORD: Signature of Landlord or Landlord’s Agent: Name of Landlord or Landlord’s Agent: Title of Agent (if applicable): (for and on behalf of Date:/ WITNESS signature:■ Name: Date: 3S&4 JOINT AND SEVERAL TENANCY (IF TWO OR MORE ADULT TENANTS): We understand and agree that our obligations are joint and several.We understand that we will be responsible for our individual obligations as well as the obligations of all other tenants signingthisLease.This includes paying the rental amount and all other terms of this Lease. TENANT: Printed Name:Date: TENANT: Printed Name:Date: TENANT: Printed Name:Date: TENANT: Printed Name:Date: WITNESS signature :Date: Name: ©SmarlLegalForms LF310 Residential Lease 3-23,Pg.11 of 11 Certification of Accuracy The following parties have reviewed the information above and certify,to the best of their knowledge,that the information provided is true and accurate. (Lessee)Tenant signature (Lessee)Tenant signature Date (Lessee)Tenant name (Lessee)Tenant name (Lessee)Tenant signature Date (Lessee)Tenant signature Date (Lessee)Tenant name (Lessee)Tenant name Date ^-f —(Lessor)Larrdlord or Landlord’s Agent Signature Title (if applicable) (Lessor)Landlord or Landlord’s Agent Name (for and on the behalf of,if applicable) Agent/Intermediary (if applicable)(Name and Title)Date LF310 Lead-Based Paint Disclosure 3-23 Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards {for use with all property built before 1978) Lead Warning Statement Housing built before 1978 may contain lead-based paint.Lead from paint,paint chips,pose health hazards if not managed properly.Lead exposure is especially harmful to youngchildrenandpregnantwomen.Before renting pre-1978 housing,lessors must disclose the presenceoflead-based paint and/or lead-based paint hazards in the dwelling.Lessees must alsoreceiveafederallyapprovedpamphletonleadpoisoningprevention. Lessor’s Disclosure: and dust can (a)Presence of lead-based paint and/or lead-based paint hazards (check (i)or (ii)below): Known lead-based paint and/or lead-based paint hazards are present in the housina(i) (explain). Lessor has no knowledge of lead-based paint and/or lead-based paint hazards ithehousing.in (b)Records and/eports available to lessor (check (i)or (ii)below):(i)—4^,^'L^ssor has provided the lessee with all available records and reports pertaininglead-based paint and/or lead-based paint hazards in the housing (list documents below): to (ii)Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Lessee’s Acknowledgment (c)_J=rLrLessee has received copies of all information listed above. Lessee has received the pamphlet Protect Your Family from Lead in Your Home.(d) acknowledgment (initial)^ent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852(d)is aware kiij^/her responsibility to ensure compliance. (e;and ©SmartLegaiForms LF310 Lead-Based Paint Disclosure 3-23 be instituted pertaining to this Residential Lease (hereinafter referred to as the “Lease”).TheLandlordandTenantwillbeentitledatanytimebywayofwrittennoticetotheothertochangetheinformationregardingtheirphysicaladdresses.Such change will become effective ■ seven (7)after receipt by the other party of the notice.Any notice which the Landlord requires togivetotheTenantshallbedeemedtohavebeenvalidlygivenifsentbypre-paid registered lettertotheTenantattherentallocationorleftbytheLandlordatsuchaddress,which notice shall bedeemedtohavebeenreceivedfive(5)days after sending by registered mail,or on the day thenoticewasdeliveredbyhand. (Unless inconsistent with the context,words signifying the singular shall include theviceversa.) 2.THE PREMISES: 2.1 Physical Address: County of 2.2 Outbuildings included as part of the premises (if applicable): on day plural and 2.3 Fixed Improvements included as part of the premises (if applicable): 2.4 Grounds included as part of the premises: 2.5 The Landlord stipulates that the leased property be occupied by no more than persons,consisting of a maximum of —I^^dults and O child(ren)under the age of eighteen years, (hereinafter referred to as the “Premises") F710 QocirfAfttiot I Aom 3.PERIOD OF LEASE: 3.1 The initial period of the Lease is for _/months and shall start on and shall end at midnight on '/o 3.2 This Lease shall be automatically renewed after the initial term under the same conditions. Acknowledgment by Tenant (initials of Tenant(s)signing Lease): on a month-to-month basis ifhA Tenant Name Initial Tenant Name Initial Tenant Name Initial Tenant Name Initial 3.3 After the initial period of the^reement this Lease may be cancelled by either the LandlordortheTenantbygiving 4.RENTAL: 4.1 The monthly rental amount for the Premises for the initial period i 4.2 The said monthly rental amount is escalated annually at a rate of _the monthly rental amount for the previous year. days written notice. is percent of 4.3 Rental amount shall be paid in the form of personal check,cashier’s check, direct deposit made out to money order,or 4.4 Rental amount shall be paid monthly in advance on or before the first date of the month,without any deduction whatsoever at the following address-W /I 4.5 The Tenant shall pay a late charge of in ^days after the due date to 4.6 The Tenant shall pay an amount of sufficient funds and thereafter pay rental amount by cash or cashier’s check. 4.7 In the event of the rental amount or any portion thereof not being paid on the due datetheTenantfailingtomeethis/her obligations under this Lease,or the Tenant surrendering his/her estate or being sequestrated,provisionally or otherwise,the Landlord shall be entitled to bywrittennoticerequiretheTenanttocomplywiththespecificobligationwhichhe/she has failed _if rental amount is not received with- cover col ection fees and/or additional administration fees. for each rental check returned for in- or ©Smaftt.egatFofms LF310 Residential Lease 3-23,Pg.3 of 11 Residential Lease 1.THE PARTIES OF THIS RESIDENTIAL LEASE ARE: 1.1 THE LANDLORD: Name of Company_or Full Name and Surname of Individual: Agent (if applicable); Title of Agent (if applicable): Physical Address: Postal Address (if different): (hereinafter referred to as the “Landlord”) 1.2 THE TENANT: Full Name and Surname: Physical Address: Postal Address (if different): 7i^7/ut Full Name and Surname:_ Physical Address: Postal Address (if different): Full Name and Surname:_ Physical Address; Postal Address (if different): Full Name and Surname:_ Physical Address: Postal Address (if different): Additional Members of the Tenant’s Household; (hereinafter referred to collectively as the “Tenant”) The Landlord and Tenant choose the above stated addresses as their physical addresses for purposes of delivery of any notice,payment of any amount and at which legal proceedings may ©SmartLegaFbrms Lf310 Residential Lease 3-23,Pg,1 of 11 be instituted pertaining to this Residential Lease (hereinatter referred to as the “Lease").The . Landlord and Tenant will be entitled at any time by way of written notice to the other to change the information regarding their physical addresses.Such change will become effective on day (7)after receipt by the other party of the notice.Any notice which the Landlord requires toseven give to the Tenant shall be deemed to have been validly given if sent by pre-paid registered letter to the Tenant at the rental location or left by the Landlord at such address,which notice shall be deemed to have been received five (5)days after sending by registered mail,or on the day the notice was delivered by hand. (Unless inconsistent with the context,words signifying the singular shall include the plural and vice versa.) 2.THE PREMISES: 2.1 Physical Address: County of 2.2 Outbuildings included as part of the premises (if applicable): 2,3 Fixed Improvements included as part of the premises (if applicable): 2.4 Grounds included as part of the premises: 2.5 The Landlord stipulates that the leased property be occupied by no more than child(ren)under the age of eighteen years. -persons, adults andconsistingofamaximumof (hereinafter referred to as the “Premises”) LF310 Residential Lease 3*23,Pg.2 ot 11 3.PERIOD OF LEASE: 3.1 The initial period of the Lease is for months and shall start on 'tz>1 and shall end at midnight on 3.2 This Lease shall be automatically renewed after the initial term on a month-to-month basis under the same conditions. Acknowledgment by Tenant (initials of Tenant(s)signing Lease): 'l^nt Name Initial Tenant Name Initial Tenant Name Initial InitialTenantName 3.3 After the initial period of the agreement this Lease may be cancelled by either the Landlord or the Tenant by giving days written notice. 4.RENTAL: 4.1 The monthly rental amount for the Premises for the initial period is 4.2 The said monthly rental amount is escalated annually at a rate of the monthly rental amount for the previous year. percent of 4.3 Rental amount shall be paid in the form of personal check,cashier’s check,money order,or direct deposit made out to 4.4 Rental amount shall be paid monthly in advance on or before the first date of the month, without any deduction whatsoever at the following address:¥"^^73 4.5 The Tenant shall pay a late charge of in £days after the due date to cover collection fees and/or additional administration fees. if rental amount is not received with- 4.6 The Tenant shall pay an amount of sufficient funds and thereafter pay rental amount by cash or cashier’s check. for each rental check returned for in- 4.7 In the event of the rental amount or any portion thereof not being paid on the due date,or the Tenant failing to meet his/her obligations under this Lease,or the Tenant surrendering his/ her estate or being sequestrated,provisionally or otherwise,the Landlord shall be entitled to by written notice require the Tenant to comply with the specific obligation which he/she has failed ©SmartLegsiFbrms LF310 Residential Lease 3-23,Pg.3 of 11 5^days after receiving the said \written notice by hand or \within ^days●to meet within after the sending thereof per registered mail,and should the Tenant still fail to comply with such obligations the Landlord shall be entitled to: 4.7.1 cancel this Lease,eject the Tenant and/or any other persons occupying the Premises without prejudice of his/her rights to claim arrear rental amount; 4.7.2 claim payment of any arrear rental amount or any other monies due,be it compensation for damages to the Premises,or damages arising out of breach of this Lease by the Tenant. 4.8 In the event of the Tenant not vacating the Premises after cancellation of this Lease by leav ing his/her property or possessions behind,the Tenant shall be liable for the rental amount. 4.9 The Tenant shall not be entitled to any reduction in rental amount while the Landlord does repairs to the Premises. 5.ADDITIONAL PAYMENTS BY TENANT: 5.1 The Tenant shall from the date of commencement of this Lease promptly pay for all utility expenses,except for: which shall be provided by the Landlord. 5.2 All legal costs incurred by the Landlord in respect of any legal steps taken by him/her against the Tenant to enforce any of the Tenant’s obligations in terms of this Lease shall be paid for by the Tenant. Should the Tenant fail to make payment of any of the aforementioned,the Landlord shall have the right without prejudice to his/her other rights in law or under this Lease to effect payment himself/ herself and to recover the amounts so expended from the Tenant. 6.SECURITY DEPOSIT; with the Landlord on signature6.1 The Tenant must deposit an amount of of this Lease.This deposit will be held by the Landlord and may be used at any time to repair damages caused by the Tenant to the Premises.The deposit or balance thereof will be refunded to the Tenant when this Lease expires and after inspection of the Premises but not later than days after this Lease expired.The deposit may also be utilized for the payment of amounts due and owing by the Tenant in terms of this Lease as well as the cost of repairing damage (other than ordinary wear and tear)to the Premises and/or replacing lost keys.This pro vision is purely for the benefit of the Landlord and does not relieve the Tenant in any way from the obligation of any other payment or liabilities in terms thereof. '2^ 6.2 The Tenant shall not under any circumstances be entitled in the final month of the tenancy to LF310 Residential Lease 3-23,Pg.4 of 11 EXECUTION LANDLORD: Signature of Landlord or Landlord’s Agent: Name of Landlord or Landlord’s Agent: Title of Agent (if applicable): (for and on behalf of WITNESS signature: c. ) Date: Date: Name:3>^^yL JOINT AND SEVERAL TENANCY (IF TWO OR MORE ADULT TENANTS): We understand and agree that our obligations are joint and several.We understand that we will be responsible for our individual obligations as well as the obligations of all other tenants signingthisLease.This includes paying the rental amount and all other terms of this Lease. TENANT: Printed Name:Date: TENANT: Printed Name:Date: TENANT: Printed Name:Date: TENANT: Printed Name:Date: WITNESS signature:Date: Name: ©SmartLegalForms LF310 Residential Lease 3-23,Pg.11 of 11 Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards (for use with all property built before 1978) Lead Warning Statement Housing built before 1978 may contain lead-based paint.Lead from paint,paint chips,and dust can pose health hazards if not managed properly.Lead exposure is especially harmful to young children and pregnant women.Before renting pre-1978 housing,lessors must disclose the pres ence of lead-based paint and/or lead-based paint hazards in the dwelling.Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor’s Disclosure; (a)Presence of lead-based paint and/or lead-based paint hazards (check (i)or (ii)below): Known lead-based paint and/or lead-based paint hazards are present in the housing (i) (explain). Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b)Records and reports available to lessor (check (i)or (ii)below): (i)Lessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): (ii)Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Lessee’s^^knowledgment^^Lessee has received copies of all information listed above, tiessee has received the pamphlet Protect Your Family from Lead in Your Home. (c). (d) AgejM^Acknowledgment (initial) (e)Agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852(d)andisa'k/are of his/her responsibility to ensure compliance.V ©SmsrtLegaiForms LF310 Lead-Based Paint Disclosure 3-23 Certification of Accuracy The following parties have reviewed the information above and certify,to the best of their knowl edge,that the information provided is true and accurate. ^7 TenanfsignatLH4 Date(Lessee)Tenant signatureDate (Lessee)Tenant name(Lessee)Tenant name Date(Lessee)Tenant signatureDate(Lessee)Tenant signature (Lessee)Tenant name(Lessee)Tenarrmarne DateTitle(if applicable)(Lesspif Lartdiord or Landlord’s Agent Signature (for and on the behalf of,if applicable)(Lessor)Landlord or Landlord’s Agent Name Date(Name and Title)Agent/Intermediary (if applicable) LF310 Lead-Based Paint Disclosure 3-23